| Outcomes of 4-snip punctoplasty for severe punctal stenosis: measurement of tear meniscus height by optical coherence tomography. | |
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MedLine Citation:
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PMID: 22264691 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To investigate the surgical outcome of rectangular 4-snip punctoplasty, a modification of rectangular 3-snip procedures, using objective measurements. DESIGN: Noncomparative case series. METHODS: The medical charts of patients who underwent rectangular 4-snip punctoplasty for severe punctal stenosis with at least 6 months follow-up were reviewed. Before surgery and at 1 and 6 months after surgery, subjective evaluation of tearing was assessed using Munk scores. The size of the punctum was graded based on slit-lamp examination, and measurement of tear meniscus height was done using Fourier-domain optical coherence tomography. RESULTS: A total of 45 eyes (26 patients) were studied. The subjective epiphora score was significantly reduced after surgery and maintained until 6 months after the surgery (χ2 for trend test, P<.001). The grade of the punctum size was also significantly enlarged after surgery and the enlarged punctum was maintained until 6 months after the surgery (χ2 for trend test, P<.001). The mean preoperative tear height (452.4±249.3 μm) was significantly reduced both at 1 month after surgery (341.6±207.9 μm; P=.003, paired t test) and at 6 months after surgery (362.1±212.6 μm; P=.004, paired t test). The functional success rate was 93.3% and anatomic success rate was 88.9% at 6 months after surgery. CONCLUSIONS: Rectangular 4-snip punctoplasty was an anatomically and functionally effective procedure for severe punctal stenosis patients, maintaining large puncta for fairly long periods. |
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Authors:
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Sung Eun Kim; Sung Jun Lee; Sang Yeul Lee; Jin Sook Yoon |
Publication Detail:
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Type: Journal Article Date: 2012-01-20 |
Journal Detail:
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Title: American journal of ophthalmology Volume: 153 ISSN: 1879-1891 ISO Abbreviation: Am. J. Ophthalmol. Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-03-26 Completed Date: 2012-05-09 Revised Date: 2012-08-15 |
Medline Journal Info:
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Nlm Unique ID: 0370500 Medline TA: Am J Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 769-73, 773.e1-2 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2012 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Ophthalmology, Myongji Hospital, Kwandong University College of Medicine, Koyang, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Constriction, Pathologic Dacryocystorhinostomy / methods* Eyelid Diseases / surgery* Female Fourier Analysis Humans Lacrimal Duct Obstruction / surgery* Male Middle Aged Tears / chemistry* Tomography, Optical Coherence Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Am J Ophthalmol. 2012 Jul;154(1):209; author reply 209-10
[PMID:
22709838
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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